| Andrew Dane Russell Mitchell, APRN | |
| 
					300 W Dixie Ave, Elizabethtown, KY 42701-1704  | |
| (270) 982-0855 | |
| Not Available | 
| Full Name | Andrew Dane Russell Mitchell | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 300 W Dixie Ave, Elizabethtown, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1972283844 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 28266641A (Indiana) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4028613 (Kentucky) | Primary | 
| Entity Name | Total Wellness Center, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306609128 PECOS PAC ID: 6002343886 Enrollment ID: O20241217004260  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Andrew Dane Russell Mitchell, APRN 204 E Market St, Louisville, KY 40202-1218 Ph: (606) 224-6657  | Andrew Dane Russell Mitchell, APRN 300 W Dixie Ave, Elizabethtown, KY 42701-1704 Ph: (270) 982-0855  | 
Stephanie Rae Kelty, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1301 Ring Rd, Elizabethtown, KY 42701 Phone: 270-765-2107 Fax: 270-769-9642  | |
Christina M Wills, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701 Phone: 270-506-3300 Fax: 270-506-2843  | |
Lisa Christine Gaines, DNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 W Dixie Ave, Elizabethtown, KY 42701 Phone: 502-644-9162  | |
Dr. Marguerite Vernette Mcbride, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3040 Dolphin Dr, Elizabethtown, KY 42701 Phone: 270-765-3488  | |
Mrs. Chelsea Danielle Thorn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Crown Pointe Dr Ste 107, Elizabethtown, KY 42701 Phone: 270-506-3300 Fax: 270-506-2843  | |
Ms. Kristen Renee Ryan, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1230 Woodland Dr Ste 207, Elizabethtown, KY 42701 Phone: 270-600-7001 Fax: 270-600-7002  | |
Elizabeth Anne Shelton, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 N Dixie Ave, Elizabethtown, KY 42701 Phone: 270-737-1212  |